As per Georgia High School Association By-Law 1.41(c) and the new State of Georgia law, the “Pre-Participation Physical Evaluation” form may be signed by a licensed Nurse
Practitioner or a Physician’s Assistant provided this person has been delegated that task by an M.D. or D.O. Alterations (edits) to this copyrighted document are not permitted.
Therefore, the doctor or his/her designee may print and then sign his/her (their) name on the appropriate line(s) found on page 3 and page 4 of the physical form.